Management of Mesenteric Cysts in Pediatric Population: Five-year Experience in Tertiary Care Center
Introduction To study the clinical features, diagnosis and treatment of mesenteric cysts in pediatric age group (< 15 years).
Materials and Methods This was a retrospective analysis which inculded 35 children diagnosed and treated for mesenteric cysts in the pediatric surgery department from January 2014 to January 2019. Patient’s data were retrieved from case sheets and analyzed. Patients with atleast one year follow-up were included in the study.
Results Thirty-five patients were included in the study. Twenty-one (60%) were males and fourteen (40%) were females. Mean age of presentation and surgery was 24 months. Twenty-six (74.2%) patients were managed by bowel resection, while 9 (25.7%) were managed by simple cystectomy. The average size of the cyst was 15 cm (ranging from 5 to 25 cm). Content of cysts was mostly chylous (82.9% cases). No recurrence was found throughout the follow-up period (1–2 years).
Conclusion Mesenteric cyst should be considered as a differential diagnosis in pediatric patients with acute or subacute intestinal obstruction and with or without a palpable lump in the abdomen. Mesenteric cysts can be managed surgically with favorable outcomes.
25. Oktober 2020 (online)
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
- 1 Chung MA, Brandt ML, St-Vil D, Yazbeck S. Mesenteric cysts in children. J Pediatr Surg 1991; 26 (11) 1306-1308
- 2 Bezzola T, Bühler L, Chardot C, Morel P. [Surgical therapy of abdominal cystic lymphangioma in adults and children]. J Chir (Paris) 2008; 145 (03) 238-243
- 3 Ricketts RR. Mesenteric and omental cysts. In: Arnold GC, Anthony C, Scott AN. et al. eds. Pediatric Surgery. 7th ed. Elsevier Inc; 2012: 1165-70
- 4 Takiff H, Calabria R, Yin L, Stabile BE. Mesenteric cysts and intra-abdominal cystic lymphangiomas. Arch Surg 1985; 120 (11) 1266-1269
- 5 Egozi EI, Ricketts RR. Mesenteric and omental cysts in children. Am Surg 1997; 63 (03) 287-290
- 6 Bliss DP Jr, Coffin CM, Bower RJ, Stockmann PT, Ternberg JL. Mesenteric cysts in children. Surgery 1994; 115 (05) 571-577
- 7 Pampal A, Yagmurlu A. Successful laparoscopic removal of mesenteric and omental cysts in toddlers: 3 cases with a literature review. J Pediatr Surg 2012; 47 (08) e5-e8
- 8 Mohanty SK, Bal RK, Maudar KK. Mesenteric cyst–an unusual presentation. J Pediatr Surg 1998; 33 (05) 792-793
- 9 Farrell WJ, Grube P. Intra-abdominal cystic lymphangiomas. Am J Surg 1964; 108: 790-793
- 10 Caropreso PR. Mesenteric cysts: a review. Arch Surg 1974; 108 (02) 242-246
- 11 Rattan KN, Nair VJ, Pathak M, Kumar S. Pediatric chylolymphatic mesenteric cyst - a separate entity from cystic lymphangioma: a case series. J Med Case Reports 2009; 3: 111
- 12 Ulman I, Herek O, Ozok G, Avanoğlu A, Erdener A. Traumatic rupture of mesenteric cyst: a life-threatening complication of a rare lesion. Eur J Pediatr Surg 1995; 5 (04) 238-239
- 13 Baker AH. Development mesenteric cysts. Br J Surg 1961; 48: 534-540
- 14 Prakash A, Agrawal A, Gupta RK, Sanghvi B, Parelkar S. Early management of mesenteric cyst prevents catastrophes: a single centre analysis of 17 cases. Afr J Paediatr Surg 2010; 7 (03) 140-143
- 15 Nam SH, Kim DY, Kim SC, Kim IK. The surgical experience for retroperitoneal, mesenteric and omental cyst in children. J Korean Surg Soc 2012; 83 (02) 102-106
- 16 Bill Jr AH, Sumner DS. A unified concept of lymphangioma and cystic hygroma. Surg Gynecol Obstet 1965; 120: 79-86
- 17 Mollitt DL, Ballantine TVN, Grosfeld JL. Mesenteric cysts in infancy and childhood. Surg Gynecol Obstet 1978; 147 (02) 182-184
- 18 Mackenzie DJ, Shapiro SJ, Gordon LA, Ress R. Laparoscopic excision of a mesenteric cyst. J Laparoendosc Surg 1993; 3 (03) 295-299
- 19 Vanek VW, Phillips AK. Retroperitoneal, mesenteric, and omental cysts. Arch Surg 1984; 119 (07) 838-842
- 20 Sahin DA, Akbulut G, Saykol V, San O, Tokyol C, Dilek ON. Laparoscopic enucleation of mesenteric cyst: a case report. Mt Sinai J Med 2006; 73 (07) 1019-1020